|
Goserelin 10.8 mg subcutaneous implant
|
$1,467.04 |
$1,467.04 |
$1,467.04 |
$4,417.13
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$125.50 |
$125.50 |
$125.50 |
$73.83
|
|
Graft axiofill 1000mg
|
$3,523.38 |
$3,523.38 |
$3,523.38 |
$5,125.68
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$720.50 |
$720.50 |
$720.50 |
$605.00
|
|
Graft nerve adv 3-4x70mm
|
$24,713.69 |
$24,713.69 |
$24,713.69 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$73,600.00 |
$73,600.00 |
$73,600.00 |
$29,289.67
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$449.50 |
$449.50 |
$449.50 |
$1,111.05
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$816.86 |
$816.86 |
$816.86 |
$886.17
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$742.50 |
$742.50 |
$742.50 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$7,580.70 |
$7,580.70 |
$7,580.70 |
$349.41
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$742.50 |
$742.50 |
$742.50 |
$1,114.96
|
|
Graft xenmtrx sft rect 15x20cm
|
$20,608.00 |
$20,608.00 |
$20,608.00 |
$29,113.43
|
|
Graft xenmtrx sft rect 19x28cm
|
$2,527.98 |
$2,527.98 |
$2,527.98 |
$2,923.86
|
|
Granisetron hcl injection
|
$1.76 |
$1.76 |
$1.76 |
$45.03
|
|
Granulocyte pheresis ea unit
|
$3,770.50 |
$3,770.50 |
$3,770.50 |
$2,698.02
|
|
Great toe with reduction 28495
|
$760.00 |
$760.00 |
$760.00 |
$495.00
|
|
Growth hormone antibody
|
$180.50 |
$180.50 |
$180.50 |
$72.81
|
|
Growth stimulation gene 2
|
$92.50 |
$92.50 |
$92.50 |
$180.50
|
|
G-tube reposition
|
$1,499.00 |
$1,499.00 |
$1,499.00 |
$760.80
|
|
Gu dilat ureter/urethra s&i
|
$476.00 |
$476.00 |
$476.00 |
$2,057.58
|
|
Guided cath fluid drainage 10030
|
$896.00 |
$896.00 |
$896.00 |
$1,372.15
|
|
Guide endoanchr sg-64 aaa 62cm
|
$6,658.50 |
$6,658.50 |
$6,658.50 |
$7,743.36
|
|
Guide wire threaded 1.4x150mm
|
$4,128.50 |
$4,128.50 |
$4,128.50 |
$3,284.36
|
|
Guide worley csg 9fx50cm std
|
$2,116.00 |
$2,116.00 |
$2,116.00 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$715.00 |
$715.00 |
$715.00 |
$535.60
|
|
Gw stiffened micro access kit
|
$5,485.50 |
$5,485.50 |
$5,485.50 |
$6,836.20
|
|
Halo cervical into jckt vest
|
$3,019.00 |
$3,019.00 |
$3,019.00 |
$5,015.12
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$8.90 |
$8.90 |
$8.90 |
$90.97
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$15.01 |
$15.01 |
$15.01 |
$24.25
|
|
Halo repl liner/interface
|
$261.00 |
$261.00 |
$261.00 |
$1,931.10
|
|
Handle/convey/speciman/office-lab 99000
|
$48.00 |
$48.00 |
$48.00 |
$23.40
|
|
Hand orthosis metacarpal fracture orthosis prefa l3918
|
$115.00 |
$115.00 |
$115.00 |
$115.00
|
|
Handpiece aquabeam hp2000
|
$7,187.50 |
$7,187.50 |
$7,187.50 |
$6,628.05
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$127.00 |
$127.00 |
$127.00 |
$105.30
|
|
Hand X-ray
|
$322.00 |
$322.00 |
$322.00 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$316.50 |
$316.50 |
$316.50 |
$294.90
|
|
Haptoglobin quantitative
|
$127.50 |
$127.50 |
$127.50 |
$92.64
|
|
Harvest allogeneic stem cell
|
$1,554.50 |
$1,554.50 |
$1,554.50 |
$3,766.50
|
|
Harvest auto stem cells
|
$3,379.00 |
$3,379.00 |
$3,379.00 |
$3,624.31
|
|
Harvest stem cell concentrte
|
$830.50 |
$830.50 |
$830.50 |
$1,355.25
|
|
Hast w/i&r phys/qhp
|
$213.00 |
$213.00 |
$213.00 |
$301.95
|
|
Hast w/oxygen titrate
|
$223.50 |
$223.50 |
$223.50 |
$347.20
|
|
Hba1/hba2 full gene sequence
|
$1,763.00 |
$1,763.00 |
$1,763.00 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$594.00 |
$594.00 |
$594.00 |
$403.25
|
|
Hba1/hba2 gene fam vrnt
|
$1,102.00 |
$1,102.00 |
$1,102.00 |
$568.65
|
|
Hbb full gene sequence
|
$913.00 |
$913.00 |
$913.00 |
$633.25
|
|
Hbb gene com variants
|
$513.50 |
$513.50 |
$513.50 |
$345.95
|
|
Hbb gene dup/del variants
|
$594.00 |
$594.00 |
$594.00 |
$404.80
|
|
Hbb gene known fam variant
|
$1,102.00 |
$1,102.00 |
$1,102.00 |
$751.20
|
|
Hbot, full body chamber, 30m
|
$901.50 |
$901.50 |
$901.50 |
$526.90
|
|
Hcg free betachain test
|
$197.50 |
$197.50 |
$197.50 |
$64.74
|
|
Hcg qualitative
|
$72.50 |
$72.50 |
$72.50 |
$89.60
|
|
Hcg quantitative
|
$238.50 |
$238.50 |
$238.50 |
$137.70
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,806.00 |
$1,806.00 |
$1,806.00 |
$2,725.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,888.00 |
$1,888.00 |
$1,888.00 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,229.00 |
$2,229.00 |
$2,229.00 |
$3,706.29
|
|
Hdr rdncl skn surf brachytx
|
$877.50 |
$877.50 |
$877.50 |
$911.04
|
|
Hdr rdncl skn surf brachytx
|
$886.00 |
$886.00 |
$886.00 |
$1,179.75
|
|
Head CT scan (with and without contrast)
|
$1,013.00 |
$1,013.00 |
$1,013.00 |
$1,822.95
|
|
Head CT scan (with contrast)
|
$853.00 |
$853.00 |
$853.00 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$627.50 |
$627.50 |
$627.50 |
$1,268.90
|
|
Heart first pass add-on
|
$519.00 |
$519.00 |
$519.00 |
$487.78
|
|
Heel (Calcaneus) X-ray (both feet)
|
$246.50 |
$246.50 |
$246.50 |
$276.45
|
|
Heinz bodies direct
|
$49.50 |
$49.50 |
$49.50 |
$43.15
|
|
Helicobacter pylori antibody igm
|
$135.50 |
$135.50 |
$135.50 |
$92.23
|
|
Hemagglutination inhibition
|
$108.50 |
$108.50 |
$108.50 |
$43.20
|
|
Hematocrit
|
$35.50 |
$35.50 |
$35.50 |
$33.60
|
|
Hematopoietic nuclear tx
|
$3,266.00 |
$3,266.00 |
$3,266.00 |
$928.98
|
|
Hemin 350 mg intravenous powder for solution
|
$43.30 |
$43.30 |
$43.30 |
$20,618.46
|
|
Hemodialysis one evaluation
|
$323.50 |
$323.50 |
$323.50 |
$1,364.27
|
|
Hemoglobin
|
$19.50 |
$19.50 |
$19.50 |
$33.02
|
|
Hemoglobin copper sulfate
|
$27.50 |
$27.50 |
$27.50 |
$8.80
|
|
Hemoglobin fetal qualitative
|
$61.00 |
$61.00 |
$61.00 |
$51.00
|
|
Hemoglobin f (fetal) chemical
|
$84.50 |
$84.50 |
$84.50 |
$42.00
|
|
Hemoglobin methemoglobin quantitative
|
$82.50 |
$82.50 |
$82.50 |
$52.32
|
|
Hemoglobin-oxygen affinity
|
$126.50 |
$126.50 |
$126.50 |
$89.13
|
|
Hemoglobin plasma
|
$70.50 |
$70.50 |
$70.50 |
$41.40
|
|
Hemoglobin urine
|
$40.50 |
$40.50 |
$40.50 |
$17.50
|
|
Hemolysin acid
|
$137.50 |
$137.50 |
$137.50 |
$79.04
|
|
Hemolysins/agglutinins auto
|
$20.50 |
$20.50 |
$20.50 |
$61.95
|
|
Hemolysins and agglutinins incubated
|
$99.50 |
$99.50 |
$99.50 |
$61.79
|
|
Hemophilus influenza antibdy
|
$150.50 |
$150.50 |
$150.50 |
$62.70
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$2,540.50 |
$2,540.50 |
$2,540.50 |
$1,178.02
|
|
Heparin assay
|
$179.50 |
$179.50 |
$179.50 |
$138.84
|
|
Heparin bolus from bag
|
$106.08 |
$106.08 |
$106.08 |
$65.92
|
|
Heparin neutralization
|
$157.50 |
$157.50 |
$157.50 |
$37.10
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$3.62 |
$3.62 |
$3.62 |
$11.77
|
|
Hepatitis a antibody igm
|
$75.50 |
$75.50 |
$75.50 |
$89.10
|
|
Hepatitis b core antibody igm
|
$121.00 |
$121.00 |
$121.00 |
$88.83
|
|
Hepatitis b core antibody total
|
$119.00 |
$119.00 |
$119.00 |
$77.50
|
|
Hepatitis b surface ag quan
|
$303.50 |
$303.50 |
$303.50 |
$54.88
|
|
Hepatitis b surface antibody
|
$112.00 |
$112.00 |
$112.00 |
$82.05
|
|
Hepatitis c antibody
|
$101.50 |
$101.50 |
$101.50 |
$108.00
|
|
Hepatitis c rna dir probe
|
$148.00 |
$148.00 |
$148.00 |
$63.20
|
|
Hepatitis d quantification
|
$253.00 |
$253.00 |
$253.00 |
$91.28
|
|
Hereditary colon ca dsordrs
|
$1,956.00 |
$1,956.00 |
$1,956.00 |
$1,799.45
|
|
Herpes simplex 1 ag if
|
$177.50 |
$177.50 |
$177.50 |
$38.58
|
|
Herpes simplex 2 ag if
|
$177.50 |
$177.50 |
$177.50 |
$41.41
|
|
Herpes simplex type 1 antibody igg
|
$137.50 |
$137.50 |
$137.50 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$195.00 |
$195.00 |
$195.00 |
$87.36
|
